Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $2,230.20 – $2,230.20 | 1 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $2,349.94 – $2,349.94 | 1 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $1,719.98 – $1,719.98 | 1 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $2,104.54 – $2,104.54 | 1 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $3,392.88 – $3,392.88 | 1 |
| Exc excessive skin hip CPT 15834 | not published | not published | $3,253.64 – $3,253.64 | 1 |
| Exc excessive skin leg CPT 15833 | not published | not published | $3,151.74 – $3,151.74 | 1 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $3,357.37 – $3,357.37 | 1 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $2,909.59 – $2,909.59 | 1 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $2,090.67 – $2,090.67 | 1 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $1,672.94 – $1,672.94 | 1 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,888.35 – $1,888.35 | 1 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $1,896.74 – $1,896.74 | 1 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $683.20 – $956.48 | 4 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $1,153.88 – $1,153.88 | 1 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $1,701.22 – $1,701.22 | 1 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,478.42 – $1,478.42 | 1 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $1,538.77 – $1,538.77 | 1 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,879.88 – $1,879.88 | 1 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $1,929.60 – $1,929.60 | 1 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $1,836.65 – $1,836.65 | 1 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $1,999.65 – $1,999.65 | 1 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $1,922.07 – $1,922.07 | 1 |
| Exchange biliary drg cath CPT 47536 | $2,341.01 | $4,417.00 | $2,954.50 – $2,954.50 | 1 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $424.51 – $594.31 | 4 |
| Exchange drainage catheter CPT 49423 | $1,596.89 | $3,013.00 | $1,991.67 – $1,991.67 | 1 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $3,318.36 – $3,318.36 | 1 |
| Exchange nephrostomy cath CPT 50435 | $1,371.64 | $2,588.00 | $1,711.51 – $1,711.51 | 1 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $1,336.83 – $1,336.83 | 1 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $1,844.15 – $1,844.15 | 1 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $1,485.88 – $1,485.88 | 1 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $2,196.26 – $2,196.26 | 1 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $2,700.89 – $2,700.89 | 1 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $192.94 – $567.32 | 4 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $192.94 – $514.15 | 4 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $387.95 – $786.90 | 4 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $2,385.56 – $2,385.56 | 1 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $1,837.21 – $1,837.21 | 1 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $2,501.30 – $2,501.30 | 1 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $7,575.37 – $7,575.37 | 1 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $5,965.35 – $5,965.35 | 1 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $2,533.45 – $2,533.45 | 1 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $3,262.71 – $3,262.71 | 1 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $3,214.66 – $3,214.66 | 1 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $3,541.90 – $3,541.90 | 1 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $745.29 – $745.29 | 1 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $3,304.71 – $3,304.71 | 1 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $2,012.22 – $2,012.22 | 1 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $1,648.70 – $1,648.70 | 1 |
| Excise inferior turbinate CPT 30130 | not published | not published | $1,385.21 – $1,385.21 | 1 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $3,073.93 – $3,073.93 | 1 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $5,926.93 – $5,926.93 | 1 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $4,868.66 – $4,868.66 | 1 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $5,095.40 – $5,095.40 | 1 |
| Excise lesion testis CPT 54512 | not published | not published | $1,978.62 – $1,978.62 | 1 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $1,182.19 – $1,182.19 | 1 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $4,870.04 – $4,870.04 | 1 |
| Excise mandible lesion CPT 21040 | not published | not published | $1,928.30 – $1,928.30 | 1 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $1,913.01 – $1,913.01 | 1 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $4,829.42 – $4,829.42 | 1 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $494.49 – $1,335.30 | 4 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $2,288.99 – $2,288.99 | 1 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $3,892.78 – $3,892.78 | 1 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $4,371.49 – $4,371.49 | 1 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $3,080.79 – $3,080.79 | 1 |
| Excise pharynx lesion CPT 42808 | not published | not published | $838.77 – $838.77 | 1 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $1,076.22 – $1,076.22 | 1 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $8,023.71 – $8,023.71 | 1 |
| Excise sublingual gland CPT 42450 | not published | not published | $1,670.63 – $1,670.63 | 1 |
| Excise submaxillary gland CPT 42440 | not published | not published | $1,521.36 – $1,521.36 | 1 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $1,579.84 – $1,579.84 | 1 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $1,966.42 – $1,966.42 | 1 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $1,390.62 – $1,390.62 | 1 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $140.73 – $580.54 | 2 |
| Excision aural polyp CPT 69540 | not published | not published | $763.90 – $763.90 | 1 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $603.96 – $956.48 | 4 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $630.11 – $630.11 | 1 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $595.31 – $956.48 | 4 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $1,122.13 – $1,122.13 | 1 |
| Excision breast lesion CPT 19125 | not published | not published | $526.43 – $1,956.65 | 2 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $1,236.68 – $1,236.68 | 1 |
| Excision graft extremity CPT 35903 | not published | not published | $2,073.25 – $2,073.25 | 1 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $6,159.72 – $6,159.72 | 1 |
| Excision gum each quadrant CPT 41820 | not published | not published | $882.48 – $882.48 | 1 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $2,741.55 – $2,741.55 | 1 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $1,022.09 – $1,022.09 | 1 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $1,719.31 – $1,719.31 | 1 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $839.96 – $839.96 | 1 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $964.76 – $964.76 | 1 |
| Excision of gum flap CPT 41821 | not published | not published | $200.52 – $200.52 | 1 |
| Excision of gum lesion CPT 41822 | not published | not published | $1,093.30 – $1,093.30 | 1 |
| Excision of gum lesion CPT 41823 | not published | not published | $1,596.18 – $1,596.18 | 1 |
| Excision of gum lesion CPT 41826 | not published | not published | $1,179.31 – $1,179.31 | 1 |
| Excision of gum lesion CPT 41827 | not published | not published | $1,646.83 – $1,646.83 | 1 |
| Excision of gum lesion CPT 41828 | not published | not published | $1,150.93 – $1,150.93 | 1 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $791.62 – $791.62 | 1 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $3,031.11 – $3,031.11 | 1 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $2,242.89 – $2,242.89 | 1 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $2,754.12 – $2,754.12 | 1 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $1,499.98 – $1,499.98 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.